| I wish to join Opportunity Lodge. Enclosed is a donation of :- $_______________( Please check one Box)
|
 $5.00 for one year Membership.- $5.00 for Honorary Members Pin.
- $50 for a Lifetime Lapel Pin and Life Membership.
- $25 Life Members Shirt plus $5 S&H
|
| Name_______________________________________________________________________________________________
|
| Address_____________________________________________________________________________________________
|
| City______________ |
State______________ |
Zip______________ |
|
| Lodge #______________ |
Chapter #______________ |
Legion #______________ |
M/Wid #______________ |
|
| I wish to join Opportunity Lodge. Enclosed is a donation of :- $_______________( Please check one Box)
|
- $5.00 for one year Membership.
- $5.00 for Honorary Members Pin.
- $50 for a Lifetime Lapel Pin and Life Membership.
- $25 Life Members Shirt plus $5 S&H
|
| Name_______________________________________________________________________________________________
|
| Address_____________________________________________________________________________________________
|
| City______________ | State______________ |
Zip______________ |
|
| Lodge #______________ |
Chapter #______________ |
Legion #______________ |
M/Wid #______________ |
|
| I wish to join Opportunity Lodge. Enclosed is a donation of :- $_______________( Please check one Box)
|
- $5.00 for one year Membership.
- $5.00 for Honorary Members Pin.
- $50 for a Lifetime Lapel Pin and Life Membership.
- $25 Life Members Shirt plus $5 S&H
|
| Name_______________________________________________________________________________________________
|
| Address_____________________________________________________________________________________________
|
| City______________ |
State______________ |
Zip______________ |
|
| Lodge #______________ |
Chapter #______________ |
Legion #______________ |
M/Wid #______________
|
|
| I wish to join Opportunity Lodge. Enclosed is a donation of :- $_______________( Please check one Box)
|
- $5.00 for one year Membership.
- $5.00 for Honorary Members Pin.
- $50 for a Lifetime Lapel Pin and Life Membership.
- $25 Life Members Shirt plus $5 S&H
|
| Name_______________________________________________________________________________________________
|
| Address_____________________________________________________________________________________________
|
| City______________ |
State______________ |
Zip______________ |
|
| Lodge #______________ |
Chapter #______________ |
Legion #______________ |
M/Wid #______________ |
